Inspection Results » Mill Creek Manor

Health Inspection on March 16, 2018 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-04-09)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-04-09)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure a qualified health professional conducts resident assessments. (Corrected 2018-04-09)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-04-09)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-04-09)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-09)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-09)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-04-09)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-04-09)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-09)
   • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Corrected 2018-04-09)

3. Pattern: No actual harm with potential for minimal harm

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2018-04-09)